Ascension St. John Owasso (Owasso Medical Facility, Inc.)
12451 E 100th St N, Owasso, OK · Ascension · · NPI 1144231432
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Plc pq device breast ea addl lesion Ultrasound guide CPT 19286 | $98.24 | $265.50 | $49.42 – $122.24 | 6 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $104.16 | $281.50 | $40.96 – $666.47 | 28 |
| Pleurectomy parietal ; separate 32310 CPT 32310 | not published | not published | $1,025.88 – $1,997.19 | 7 |
| Plmt access bil tree sm bwl CPT 47541 | not published | not published | $383.20 – $639.92 | 6 |
| Plmt biliary drainage cath CPT 47534 | not published | not published | $428.27 – $918.72 | 6 |
| Plmt nephroureteral catheter CPT 50433 | not published | not published | $294.42 – $614.65 | 6 |
| Plmt ureteral stent prq CPT 50694 | not published | not published | $305.81 – $637.48 | 6 |
| Pm device progr eval dual CPT 93280 | not published | not published | $20.12 – $80.75 | 29 |
| Pm device progr eval multi CPT 93281 | not published | not published | $23.72 – $80.75 | 29 |
| Pml/raralpha 1 breakpoint CPT 81316 | not published | not published | $207.31 – $865.37 | 28 |
| Pmp22 gene dup/delet CPT 81324 | not published | not published | $758.36 – $2,425.08 | 28 |
| Pmp22 gene full sequence CPT 81325 | not published | not published | $62.01 – $1,731.56 | 28 |
| Pmp22 gene known fam variant CPT 81326 | not published | not published | $46.60 – $104.85 | 28 |
| Pm phone r-strip device eval CPT 93293 | not published | not published | $20.77 – $80.75 | 29 |
| Pms2 gene dup/delet variants CPT 81319 | not published | not published | $203.50 – $457.88 | 28 |
| Pms2 gene full seq analysis CPT 81317 | not published | not published | $676.50 – $1,567.26 | 28 |
| Pms2 known familial variants CPT 81318 | not published | not published | $210.68 – $744.75 | 28 |
| Pneumothrx tx-intraplrl inj ai CPT 32960 | not published | not published | $105.24 – $1,323.23 | 29 |
| #pnh-flow cytometry interp CPT 88187 | not published | not published | $52.57 – $148.02 | 7 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $83.34 | $225.25 | $20.33 – $58.66 | 29 |
| Polysom <6 yrs cpap/bilvl CPT 95783 | not published | not published | $967.76 – $2,244.16 | 28 |
| Polysom any age 1-3> param CPT 95808 | not published | not published | $159.16 – $2,177.46 | 29 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | not published | not published | $225.64 – $2,177.46 | 29 |
| Positional change of finger CPT 26555 | not published | not published | $1,393.84 – $2,896.75 | 7 |
| Positional nystagmus test CPT 92532 | not published | not published | $30.14 – $119.00 | 6 |
| Post non-seg/spine instrumentation 22840 CPT 22840 | not published | not published | $862.61 – $1,629.48 | 7 |
| Postpartum Care Only CPT 59430 | not published | not published | $146.05 – $298.35 | 7 |
| Post seg spine instrument/3-6 seg 22842 CPT 22842 | not published | not published | $866.06 – $1,631.04 | 7 |
| Potassium 24 hour urine CPT 84133 | $25.16 | $68.00 | $4.43 – $11.85 | 29 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $48.56 | $131.25 | $1.54 – $1.54 | 5 |
| Potassium serum/plasma/whole blood CPT 84132 | $24.79 | $67.00 | $4.76 – $12.68 | 29 |
| Pq biliary strict dil s&i CPT 74363 | $369.91 | $999.75 | $55.99 – $92.51 | 6 |
| Pq dr cath chg w cont s&i CPT 75984 | $391.18 | $1,057.25 | $45.80 – $228.21 | 7 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | not published | not published | $544.64 – $14,241.50 | 6 |
| Pq thr inj ext pse CPT 36002 | $843.97 | $2,281.00 | $120.64 – $1,323.23 | 29 |
| Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl CPT 22512 | $1,035.91 | $2,799.75 | $237.73 – $1,904.87 | 6 |
| Pq vrtbrplst 1 bdy inj crv-thr w/img ini CPT 22510 | $2,318.70 | $6,266.75 | $492.41 – $3,449.90 | 6 |
| Pq vrtbrplst 1 bdy inj lmb-scr w/img ini CPT 22511 | $2,318.70 | $6,266.75 | $461.62 – $3,412.82 | 6 |
| Pralatrexate injection HCPCS J9307 | $328.13 | $886.85 | $154.94 – $154.94 | 5 |
| Pralidoxime 1 gram solution for injection HCPCS J2730 | $160.65 | $434.20 | $154.94 – $154.94 | 5 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | $1,301.20 | $3,516.75 | $646.27 – $1,368.28 | 7 |
| Pr application of long arm splint CPT 29105 | $225.33 | $609.00 | $65.44 – $337.70 | 29 |
| Pr application splint static short arm CPT 29125 | $222.37 | $601.00 | $43.05 – $275.87 | 29 |
| Pr assessment emotional/behavioral per instrument brief CPT 96127 | not published | not published | $5.75 – $84.02 | 23 |
| Pr biopsy skin punch single lesion CPT 11104 | not published | not published | $380.04 – $855.09 | 22 |
| Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method CPT 28297 | not published | not published | $668.75 – $1,272.81 | 7 |
| Pr correction hammertoe CPT 28285 | not published | not published | $368.48 – $815.92 | 7 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $91.48 | $247.25 | $13.74 – $63.77 | 29 |
| Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 | not published | not published | $175.82 – $333.00 | 7 |
| Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 | $125.71 | $339.75 | $26.17 – $425.27 | 29 |
| Pr discharge day management hospital ip/obs <=30 min on ecounter date CPT 99238 | not published | not published | $79.86 – $81.81 | 2 |
| Pr discharge day management hospital ip/obs > 30 min on encounter date CPT 99239 | not published | not published | $118.44 – $119.04 | 2 |
| Prealbumin CPT 84134 | $68.45 | $185.00 | $14.59 – $40.22 | 29 |
| Pr ecg 12 lead report only CPT 93010 | not published | not published | $9.44 – $17.73 | 7 |
| Pr ecg external < 48 hours continuous recording/storage r&i by a phys/qhp CPT 93227 | not published | not published | $29.82 – $55.51 | 7 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $1.55 | $4.20 | $1.54 – $1.54 | 5 |
| Prednisone 1 mg tablet HCPCS J7512 | $10.80 | $29.20 | $0.26 – $0.32 | 5 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | $1,105.28 | $2,987.25 | $228.77 – $549.21 | 7 |
| Pregnancy associated plasma protein-a CPT 84163 | $64.47 | $174.25 | $15.05 – $41.53 | 29 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $566.29 | $1,530.50 | $61.14 – $302.99 | 29 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $488.77 | $1,321.00 | $61.54 – $260.58 | 29 |
| Pr e&m preventive medicine initial comprehensive new patient 12-17 years CPT 99384 | not published | not published | $94.62 – $196.13 | 7 |
| Prenatal Care Only (4-6 visits) CPT 59425 | not published | not published | $397.68 – $763.25 | 7 |
| Prenatal Care Only (7+ visits) CPT 59426 | not published | not published | $703.77 – $1,346.08 | 7 |
| Preparation palate mold CPT 42280 | not published | not published | $115.79 – $1,089.92 | 29 |
| Prepare embryo for transfer CPT 89255 | not published | not published | $50.82 – $1,038.70 | 27 |
| Prepare penis study CPT 54230 | not published | not published | $89.19 – $170.45 | 7 |
| Prep skin to 100cm2 other CPT 15004 | $892.44 | $2,412.00 | $301.99 – $1,310.11 | 29 |
| Prep skin to 100cm2 trk/ext CPT 15002 | not published | not published | $253.33 – $493.19 | 7 |
| Prep skn trk/ext adl 100cm2 CPT 15003 | not published | not published | $51.38 – $98.64 | 7 |
| Pressure max expiratory/inspiratory CPT 94799 | $232.27 | $627.75 | $5.50 – $334.87 | 28 |
| Pressure velocity wire add ves CPT 93572 | not published | not published | $95.79 – $155.45 | 6 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | not published | not published | $14.59 – $366.75 | 28 |
| Pretreat rbc absorption reference CPT 86978 | $19.61 | $53.00 | $14.59 – $127.13 | 28 |
| Pretreat rbc density gradient separation reference CPT 86972 | $119.51 | $323.00 | $17.46 – $366.75 | 28 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $207.39 | $560.50 | $10.94 – $127.13 | 28 |
| Pretreat rbc w enzyme reference CPT 86971 | not published | not published | $10.94 – $366.75 | 28 |
| Pr evaluation psychiatric diagnostic w/medical services CPT 90792 | not published | not published | $150.15 – $343.87 | 28 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | $1,907.07 | $5,154.25 | $86.60 – $175.18 | 7 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | not published | not published | $167.86 – $347.20 | 7 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $503.29 | $1,360.25 | $124.09 – $855.09 | 29 |
| Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury CPT 43840 | not published | not published | $1,447.30 – $2,922.78 | 7 |
| Prgrmg dev eval impltbl sys CPT 93260 | not published | not published | $21.57 – $117.00 | 28 |
| Prgrmg dev eval pm/ldls pm CPT 93279 | not published | not published | $17.97 – $80.75 | 29 |
| Prgrmg dev eval scrms ip CPT 93285 | not published | not published | $16.17 – $80.75 | 29 |
| Prgrmg eval implantable dfb CPT 93282 | not published | not published | $20.85 – $80.75 | 29 |
| Prgrmg eval implantable dfb CPT 93283 | not published | not published | $24.07 – $80.75 | 29 |
| Prgrmg eval implantable dfb CPT 93284 | not published | not published | $27.67 – $80.75 | 29 |
| Prgr stim/pace a/iv drug CPT 93623 | not published | not published | $58.65 – $8,949.00 | 7 |
| Pr hospital ip/obs care initial high level per day CPT 99223 | not published | not published | $224.49 – $224.63 | 2 |
| Pr hospital ip/obs care initial moderate level per day CPT 99222 | not published | not published | $151.74 – $152.46 | 2 |
| Pr hospital ip/obs care initial straightforward or low level per day CPT 99221 | not published | not published | $111.73 – $112.48 | 2 |
| Pr hospital ip/obs care subsequent high level per day CPT 99233 | not published | not published | $115.70 – $119.05 | 2 |
| Pr hospital ip/obs care subsequent moderate level per day CPT 99232 | not published | not published | $80.04 – $83.09 | 2 |
| Pr hospital ip/obs care subsequent straightforward or low level per day CPT 99231 | not published | not published | $43.57 – $46.08 | 2 |
| Prim art mech thrmbc non-intracranial CPT 37184 | not published | not published | $514.14 – $999.77 | 7 |
| Prim art mech thrmbc non-intracranial add-on CPT 37185 | not published | not published | $193.03 – $366.93 | 7 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $313.30 | $846.75 | $180.89 – $855.09 | 29 |
| Pr incision & drainage abscess simple/single CPT 10060 | $238.65 | $645.00 | $100.77 – $425.27 | 29 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $168.72 | $456.00 | $118.31 – $651.04 | 29 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.